Individual
JACARRI MICHELLE WILCOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6980 OAK LEAF DR, FAIRBURN, GA 30213-2646
(404) 565-6051
Mailing address
6980 OAK LEAF DR, FAIRBURN, GA 30213-2646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW0007777
GA
104100000X
Social Worker
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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